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	<title>Metro Optics Blog &#187; Keratoconus</title>
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		<title>ComfortKone Trial Fitting Example – TA121509</title>
		<link>http://metro-optics.com/blog/archives/24</link>
		<comments>http://metro-optics.com/blog/archives/24#comments</comments>
		<pubDate>Tue, 12 Jan 2010 15:25:54 +0000</pubDate>
		<dc:creator>joebrown</dc:creator>
				<category><![CDATA[Keratoconus]]></category>

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		<description><![CDATA[This patient was brought in by local practitioner for keratoconus fitting with ComfortKone. Topography confirmed keratoconus OU and trial lenses were selected according to Steepest “SimK Values”. 
Topography OD

Topography OS


 
OD – Base Curve 6.60, Power -5.00, Diameter 8.5, A-Value 10
OS – Base Curve 6.30, Power -8.00, Diameter 8.5, A-Value 15
 
Evaluation showed mild central [...]]]></description>
			<content:encoded><![CDATA[<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">This patient was brought in by local practitioner for keratoconus fitting with ComfortKone. Topography confirmed keratoconus OU and trial lenses were selected according to Steepest “SimK Values”. </strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Topography OD</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;"><img class="aligncenter size-full wp-image-25" title="TA121509-OD" src="http://metro-optics.com/blog/wp-content/uploads/2010/01/TA121509-OD.JPG" alt="TA121509-OD" width="640" height="480" /></strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Topography OS</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;"><img class="aligncenter size-full wp-image-26" title="TA121509-OS" src="http://metro-optics.com/blog/wp-content/uploads/2010/01/TA121509-OS.JPG" alt="TA121509-OS" width="640" height="480" /><br />
</strong></p>
<p><strong> </strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">OD – Base Curve 6.60, Power -5.00, Diameter 8.5, A-Value 10</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">OS – Base Curve 6.30, Power -8.00, Diameter 8.5, A-Value 15</strong></p>
<p><strong> </strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Evaluation showed mild central pool with a thin band of fluorescein around edges OU. Less edge clearance was noted on OS versus OD.</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Fluorescein pattern OD</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;"><img class="aligncenter size-medium wp-image-27" title="TA121509FP - OD" src="http://metro-optics.com/blog/wp-content/uploads/2010/01/TA121509FP-OD-300x225.jpg" alt="TA121509FP - OD" width="300" height="225" /></strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Fluorescein pattern OS</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;"><img class="aligncenter size-medium wp-image-28" title="TA121509FP - OS" src="http://metro-optics.com/blog/wp-content/uploads/2010/01/TA121509FP-OS-300x225.jpg" alt="TA121509FP - OS" width="300" height="225" /><br />
</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Conclusions:  Base Curve fit is acceptable OU. </strong></p>
<p><strong> </strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">More edge lift is needed so higher A Values should be used.</strong></p>
<p><strong> </strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Over-refraction was -.50 OD and -.75 OS.</strong></p>
<p><strong> </strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Prescriptive lens specifications:</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">OD – Base Curve 6.60, Power -5.50, Diameter 8.5, A-Value 12</strong></p>
<p><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">OS – Base Curve 6.30, Power -8.75, Diameter 8.5, A-Value 16</strong></p>
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